We report the case of a 56yearold, healthy, lefthanded person who consulted for progressive painful swelling of 8month duration in the right thumb, which had developed after direct trauma. There is a spindle shaped expansion of the short tubular bones due to tuberculous granuloma. Page 2 ventosa 08515920 issue 0 the product complies with the european safety standards en60335230 and the european standard electromagnetic compatibility emc en55014, en605552 and en605553. A 9 year old male presented with a two year history of a painless mass overlying the fourth finger of the right hand. The grabcad library offers millions of free cad designs, cad files, and 3d models. Spina ventosa is a descriptive term, referring to any bone lesion that causes progressive absorption of cortex bordering the medullary canal with progressive subperiosteal hyperplasia, until, roentgenographically, the bone appears inflated. Spina ventosa tuberculous dactylitis in a 2 year old. Apoorv kumar, ajay kumar sp and sunil mannual abstract. Tuberculous dactylitis is an unusual form of osteoarticular tuberculosis involving the short tubular bones of hands and feet, which is uncommon beyond six years of age. Spina ventosatuberculous dactylitis archives of disease. Spina ventosa is the term given for tuberculous dactylitis. Radiographic features of cystic expansion of the short tubular bones have led to the name of spina ventosa for tuberculosis dactylitis of the short bones. Spina ventosa is tuberculous dactylitis of the short bones of the hands and feet, characterized by a cystic. Tuberculous dactylitis spina ventosa with concomitant ipsilateral.
Radiographically, flexor tenosynovitis is the most evident finding, with or without accompanying synovitis. Spina ventosa tuberculous dactylitis in a 2 year old boy a very rare disease the open orthopaedics journal, 2012, 6. Epidemiology tuberculous osteitis is one of the commone. Even rarer is the association of tuberculous dactylitis with multifocal skeletal involvement, even in countries like ours, where tuberculosis is endemic. Tuberculous dactylitis spina ventosa of proximal phalanx. His diagnosis was delayed due to lack of suspicion of this rare entity. Tuberculous dactylitis spina ventosa of proximal phalanx in a 10yearold girl. Spina ventosa, a skeletal manifestation of tuberculosis.
Everything that has hitherto been called caries of bones, padarthrocace, spina ventosa, scrofulous inflammation of joints and bones, tumor albus, fungus articuli, strumous affection of joints english, in most recent time. Schmalz fxp operating instructions manual pdf download. Sep 27, 2019 spina is responsive multipurpose css3 theme. Tuberculosis can present in a number of guises, both intra and extrapulmonary with the majority of the latter being skeletal and genitourinary. Tuberculous dactylitis in the setting of low serum vitamin d. Tuberculous dactylitis, a form of tuberculous osteomyelitis, is well recognised in countries with a high prevalence of. This condition is also called as spina ventosa, a term which has been derived based on the radiological features of this condition, that is. Although rare, it is important to consider tuberculosis as cause of sausage digit in an endemic area because of the excellent response to antitubercular treatment 1, 2. Up to nearly 7% of children with pulmonary tuberculosis may.
Spina ventosatuberculous dactylitis archives of disease in. The fourth division made by volkmann see the preceding numbers of the journal is tuberculosis of bones, joints, and tendonsheaths. Tubercular dactylitis spina ventosa article in postgraduate medical journal 851010. Spina ventosa discharging tubercle bacilli a case report article pdf available in the indian journal of tuberculosis 562.
Our 50yearold patient presented with spontaneous and insidious finger swelling, fever and night sweats of 7 months. Tuberculous dactylitis in the adult jama surgery jama network. This volume contains the following manuscripts described as either an inaugural dissertation or an inaugural essay presented to the university of maryland for the degree of doctor of medicine or doctor of physic. Pdf spina ventosatuberculous dactylitis researchgate. On examination the swelling circumferentially involved the middle phalanx, more towards the palmar aspect fig 1. Spina nasalis posterior ossis palatini, attachment of the musculus uvulae. Pdf tuberculous dactylitis is a distinctly uncommon, yet well recognized form of tuberculosis involving the small. An intensive approach to the treatment of disseminated bcg. This is an openaccess article distributed under the terms of the creative commons attributionnon commercialshare alike 4. A possible explanation for the hygiene hypothesis in autoimmune and allergic disease. In our case, a two year old boy with a swelling in the metacarpal was provisionally diagnosed as enchondromata while the possibility of spina ventosa was kept in mind. Scrofuloderma is a mycobacterial infection affecting children and young adults, representing direct extension of tuberculosis into.
Laboratorys inflammation, virus, rf and brucella tests. Because of its radiographical cystic expansion, it is called spina ventosa sv 1, 2. Nearly 85% of the patients of spina ventosa are below 6 years of age. Spina ventosatuberculous dactylitis s andronikou and b smith department of paediatric radiology, university of cape of cape town and institute of child health, red cross war memorial childrens hospital, klipfontein road, rondebosch 7700, south africa. A chest radiograph showed right upper lobe airspace disease with associated hilar adenopathy consistent with pulmonary tuberculosis tb. Lesions of the distal phalanx often pose a radiological dilemma as the differential diagnosis is potentially broad. This article is from the open orthopaedics journal, volume 6. Tuberculous dactylitis radiology reference article. Pdf spina ventosa discharging tubercle bacillia case. Bilious remitting and intermitting fever by thomas, francis w. We report the case of a fifteenyearold adolescent boy who was diagnosed with tuberculous dactylitis, involving contralateral hand and foot.
Join the grabcad community today to gain access and download. Indian journal of musculoskeletal radiology ijmsr lesions. Request pdf on jul 1, 20, kriti mohan and others published spina ventosa of metatarsals find, read and cite all the research you need on researchgate. Tuberculous dactylitis pseudotumor of an adult thumb. Particularly for lytic lesions, there is a concern whether an underlying primary tumor or a metastatic deposit is present. Tubercular dactylitis is an unusual form of skeletal tuberculosis. Tuberculous dactylitis with ipsilateral axillary scrofuloderma was suspected on clinical and radiological grounds. Spina is a great design idea for website of creative corporate, corporation, company profile, personal portfolio, and more create outstanding website or blog in minutes. There is an appreciable mortality associated with bmt in patients with scid and advanced bcg infection. Dactylitis occurs in 30% to 40% of patients during the course of their disease. Proximal phalanx of the index and middle fingers are the commonest sites of involvement. Although dactylitis can be assessed clinically, imaging radiography, ultrasound, magnetic resonance imaging, and bone scintigraphy has provided key insights by documenting the various anatomic targets affected. Dactylitis in psa often occurs asymmetrically, involves the feet more than the hands, and affects multiple digits simultaneously.
Spina ventosa is another name given to tuberculous dactylitis, and is a relatively uncommon manifestation of tuberculosis. Fontaine, r double spina ventosa, metacarpal and metatarsal, treated by extirpation of the lesions and resection of the diaphysis followed by osseous grafts, rev. Dimplex ventosa vns15 operating instructions pdf download. Spina ventosa discharging tubercle bacilli a case report. The radiographic features of cystic expansion have led to the name spina ventosa for tuberculous dactylitis of the short bones. Of note was that he had been started on antituberculous treatment two weeks prior to presentation. Tuberculous dactylitis is often referred to as spina ventosa. Tuberculous dactylitis, a form of tuberculous osteomyelitis. Tuberculous dactylitis spina ventosa with concomitant ipsilateral axillary scrofuloderma in an immunocompetent child. The bones of hands are more commonly involved than those of the feet. View and download schmalz fxp operating instructions manual online. Tuberculous dactylitis spina ventosa of proximal phalanx in. He had mild fever and restriction of motion of the affected finger. The authors report two cases, one of tuberculous dactylitis in a 55yearold male and another of.
Tuberculous dactylitis spina ventosa with concomitant. Tuberculous dactylitisan easily missed diagnosis core. A 17yearold male presented with a painful swelling of the middle phalanx of the right middle finger of 3 weeks duration. Tuberculous dactylitis, tuberculous granuloma, spina ventosa, spindle shaped expansion. Such swelling is typically uniform, giving the appearance of a sausage digit, but can also be fusiform with accentuation around the proximal interphalangeal pip joint fig. Gyanshankar pm, dhamgaye tm, amol bf 2009 spina ventosa discharging tubercle bacillia case report. Tuberculous dactylitis is an uncommon condition which is particularly difficult to differentiate from other lesions, particularly tumors. Spina ventosa is tubercular osteomyelitis of the phalanges that can spread to overlying soft tissues causing sausage digit. Request pdf on mar 26, 2015, ramon baezatrinidad and others published spina ventosa find, read and cite all the research you need on researchgate. Tuberculous dactylitis is easily curable by specific chemotherapy, but the diagnosis is often overlooked mainly because of the relative rarity of skeletal tuberculosis, the deficiency of the initial xray findings and. Tubercular dactylitis, defined as tubercular osteomyelitis of the short tubular bones of the hand and feet is an uncommon condition seen predominantly in children. Jul 16, 2002 there is an appreciable mortality associated with bmt in patients with scid and advanced bcg infection. Uber eine eigenartige form multipler knochentuberkulose. Pdf tuberculous dactylitis spina ventosa with concomitant.
Spina ventosaa rare cause of sausage digit rheumatology. Tuberculous dactylitis is a distinctly uncommon, yet well recognized form of tuberculosis involving the. Radiographic features of cystic expansion of the short tubular bones have led to the name of spina ventosa. Involvement of small bones of hand and feet leading to tuberculous dactylitis involvement is a rare presentation of extrapulmonary tuberculosis. Spina nasalis anterior maxillae, bony projection in the skull in the order of cephalometric landmark. Pdf spina ventosa discharging tubercle bacilli a case. Tuberculous dactylitisan easily missed diagnosis boris. Histopathological examination report confirmed it as spina ventosa. Tuberculous dactylitis, also called spina ventosa short bone expanded with air is a rare extraarticular manifestation of tuberculosis found more commonly in children than adults. Tuberculous osteomyelitis an overview sciencedirect topics. He was posted for excision of the metacarpal followed by bone grafting. Pdf spina ventosa discharging tubercle bacilli a case report.
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